Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory at HCA HOUSTON WEST
12141 RICHMOND AVENUE, HOUSTON, TX · HCA Houston Healthcare · · NPI 1275580938
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$12.75 with Texas Health Network vs $457.20 with Affiliated PPO — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Texas Health Network | MCD | $12.75 | — |
| Texas Childrens Health Plans | STAR | $13.01 | — |
| Community Health Choice MCD | CHIP | $13.01 | — |
| Community Health Choice MCD | CHIPPerinatal | $13.01 | — |
| Community Health Choice MCD | STAR | $13.01 | — |
| Community Health Choice MCD | STAR+PLUS | $13.01 | — |
| Amerigroup | MGMCD | $13.01 | — |
| Amerigroup | MCDCHIPBH | $13.01 | — |
| Texas Childrens Health Plans | STARKIDS | $13.01 | — |
| United | MGMCD | $13.27 | — |
| Aetna Better Health | MGMCD | $14.05 | — |
| Molina Healthcare | STARPLUS | $14.31 | — |
| Molina Healthcare | STAR | $14.31 | — |
| Molina Healthcare | STARKIDS | $14.31 | — |
| Molina Healthcare | CHIP | $14.31 | — |
| Oscar | MGMCR | $15.18 | — |
| WellMed | MGMCR | $15.41 | — |
| TriWest Healthcare Alliance | Veterans | $15.49 | — |
| Cigna HealthSpring | MCRSNP | $15.49 | — |
| Cigna HealthSpring | PFFS | $15.49 | — |
| Cigna HealthSpring | MMP | $15.49 | — |
| Cigna HealthSpring | MCRPPO | $15.49 | — |
| Humana | MedicareAdvantageHMO | $15.49 | — |
| Humana | MedicareAdvantagePPOPFFS | $15.49 | — |
| Renaissance IPA Radiology | MCR | $15.49 | — |
| Renaissance IPA Radiology | COMM | $15.49 | — |
| Kelsey Seybold | MGMCR | $15.49 | — |
| Devoted Health | MGMCR | $15.49 | — |
| CHC Harris Health | Indigent | $15.49 | — |
| United | AllPayerAppendix | $15.49 | — |
| BCBS | MedicareAdvantageHMO | $15.49 | — |
| United | NarrowNetworkIndivExchange | $15.49 | — |
| United | SmallGroup | $15.49 | — |
| Amerigroup | DualEligible | $15.49 | — |
| BCBS | MCRPPO | $15.49 | — |
| Cigna HealthSpring | MCRHMO | $15.49 | — |
| Aetna | MCR | $15.62 | — |
| Van Lang IPA | MCR | $15.64 | — |
| United | MCR | $15.80 | — |
| WellCare | PFFS | $15.95 | — |
| WellCare | POS | $15.95 | — |
| WellCare | SNP | $15.95 | — |
| WellCare | PPO | $15.95 | — |
| Integranet Amerigroup IPA | MCR | $15.95 | — |
| WellCare | MCRHMO | $15.95 | — |
| Shared Health | MGMCR | $16.26 | — |
| ProCare Advantage | MGMCR | $16.26 | — |
| Superior Health Plan | MCRHMO | $16.26 | — |
| Superior Health Plan | DualEligible | $16.26 | — |
| American Health Plan | MGMCR | $16.26 | — |
| Humana | MCD | $16.26 | — |
| Superior Health Plan | MCRPOS | $16.26 | — |
| Superior Health Plan | MCRPPO | $16.26 | — |
| Superior Health Plan | MCRSNP | $16.26 | — |
| Superior Health Plan | PFFS | $16.26 | — |
| Provider Partners Health Plan of Texas | POS | $16.42 | — |
| Provider Partners Health Plan of Texas | MCRHMO | $16.42 | — |
| Provider Partners Health Plan of Texas | PPO | $16.42 | — |
| Provider Partners Health Plan of Texas | SNP | $16.42 | — |
| Provider Partners Health Plan of Texas | PFFS | $16.42 | — |
| Christus (USFHP) | TRICARE | $16.76 | — |
| TriWest Health Alliance | TRCR | $16.76 | — |
| Molina | MGMCR | $16.88 | — |
| Universal Healthcare Group | MCR | $18.59 | — |
| Verda Health Plan | MCR | $20.14 | — |
| Community Health Choice | HIX | $22.46 | — |
| Superior | ValueHMO | $22.46 | — |
| Superior | HMO | $24.01 | — |
| Superior | EPO | $24.01 | — |
| Superior Health Plan | STARPLUS | $30.48 | — |
| Superior Health Plan | CHIP | $30.48 | — |
| Superior Health Plan | CHPFC | $30.48 | — |
| Superior Health Plan | STAR | $30.48 | — |
| Superior Health Plan | STARKids | $30.48 | — |
| Corvel Corporation | WORKERSCOMP | $30.67 | — |
| BCBS | MyBlueHealth | $31.29 | — |
| OMNI Healthcare | WORKERSCOMP | $32.53 | — |
| Molina Healthcare | HIX | $33.30 | — |
| BCBS | BAV | $34.54 | — |
| BCBS | HMO | $43.22 | — |
| Oscar | HIX | $44.77 | — |
| BCBS | EPOSOA | $46.32 | — |
| Healthcare Highways | NarrowNetwork | $46.48 | — |
| BCBS | PPO | $49.41 | — |
| Aetna | QHPExchange | $56.73 | — |
| Cigna | CSN | $64.13 | — |
| Cigna | OpenAccessPlus | $69.46 | — |
| Aetna | NBHMO | $75.45 | — |
| Aetna | NBPPO | $75.45 | — |
| Aetna | NBPOS | $75.45 | — |
| Aetna | COMMPPO | $80.15 | — |
| Aetna | COMMHMO | $80.15 | — |
| Aetna | COMMPOS | $80.15 | — |
| Cigna | PPO | $82.64 | — |
| Texas Childrens Health Plans | CHIP | $84.33 | — |
| United | OptionsPPO | $85.34 | — |
| Aetna | OONHMO | $94.16 | — |
| Aetna | OONPPO | $94.16 | — |
| Aetna | OONPOS | $94.16 | — |
| Aetna | ASAPPO | $101.81 | — |
| Aetna | ASAHMO | $101.81 | — |
| Aetna | ASAPOS | $101.81 | — |
| Texas Workforce Commission | WCOMP | $121.92 | — |
| Evry Health | BroadNetwork | $138.68 | — |
| Imagine Health | PPO | $177.80 | — |
| BCBS | Traditional | $177.80 | — |
| Humana | HMO | $206.99 | — |
| Humana | PPO | $206.99 | — |
| HealthSmart Preferred Care | ACCEL | $218.44 | — |
| Averde Health | Commercial | $228.60 | — |
| Fidelis SecureCare of TX | MGMCR | $228.60 | — |
| United | GlobalAppendix | $228.60 | — |
| Coventry National First Health | COMM | $270.76 | — |
| Physicians Cooperative of Texas | WC | $279.40 | — |
| Rockport Workers Comp | COMM | $279.40 | — |
| Triumph | COMM | $304.80 | — |
| National Healthcare Solutions | COMM | $304.80 | — |
| Independent Medical System | COMM | $304.80 | — |
| SouthWest Medical | WORKERSCOMP | $304.80 | — |
| Coastal Comp | COMM | $330.20 | — |
| Multiplan | PHCSPrimaryNetwork | $381.00 | — |
| Cigna Behavioral Health | COMMBH | $406.40 | — |
| HealthSmart Preferred Care | PPO | $416.56 | — |
| Multiplan | ComplementaryNetwork | $431.80 | — |
| Physicians, INC | COMM | $431.80 | — |
| HealthSmart Preferred Care | ACCOUNTABLEPPO | $431.80 | — |
| Affiliated PPO | COMM | $457.20 | — |
| Curative Administrators | COMM | not published by hospital | — |
Visitor-reported prices
Comments
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Baylor St Luke's Medical Center | Houston | $58.80 | $11.15 – $168.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $58.80 | $11.15 – $168.00 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $13.01 – $64.13 |
| HCA HOUSTON TOMBALL | HOUSTON | not published | $13.01 – $64.13 |
| Adventhealth Rollins Brook | Lampasas | $296.87 | $13.94 – $59.64 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $112.42 | $10.00 – $37.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $132.44 | $4.63 – $37.18 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $81.01 | $12.00 – $37.18 |